Application for Membership

Application for Membership

Canadian Military Police Association
Personal Information
Service Number or PRI
Name*

RankFirst NameMiddle NameLast NamePost Nominals
Element*
Date enrolled as MP

MonthDayYear
Date released as MP

MonthDayYear
Component*
Retirement Status*

Not RetiredRetired, receiving a monthly annuity related to military ServiceRetired/Released, not receiving a monthly annuity related to military Service
MP Badge Number (If applicable)
Membership Category*

Ordinary (Lifetime)AssociateHonorary
Please refer to Bylaw 1 for details on membership categories and their definitions CMPA Constitution and By-Laws
Past CMPA Membership*

I've never been a member beforeI've been a member, but I don't recall the yearsSee the comment section below for the years I was a memberI been given a CMPA departure gift or am in possession of MP Retirement Credentials
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Language Preference*

EnglishFrenchDoesn't matter
Comments (Include dates of past membership if known)
I would like someone from CMPA to contact me about volunteer opportunities

YesNo
Please verify that you are human*
Should be Empty:

Personal Information